Pulmonary blood flow is provided by a central shunt of 3.0- to 4.0-mm Gore-Tex. RESULTS: The mean age and weight at operation were 15 days (range, 1 to 77 days) and 3.2 kg (range, 1.7 to 4.6 kg), respectively. The mean circulatory arrest time was 32 minutes (range, 25 to 50 ...
Cobra-Head Cuffed Vascular Graft as Right Ventricle-to-Pulmonary Artery Shunt in Norwood Procedure 2021, Annals of Thoracic Surgery Citation Excerpt : The diameter of the distal main PA in a newborn with HLHS is around 15 mm and should be reduced to 4 to 6 mm to accommodate the distal end...
Ohye RG, Sleeper LA, Mahony L, Newburger JW, Pearson GD, Lu M, Pediatric Heart Network Investigators et al (2010) Comparison of shunt types in the Norwood procedure for single-ventricle lesions. N Engl J Med 362(21):1980–1992 Central View Article...
The cobra-head cuffed graft allowed easy and reproducible reconstruction of the central PA during the Norwood procedure. Using this technique, the development of PAs is satisfactory, the rate of shunt related complications and interventions is low, and the second stage can be performed without patch...
We report on the resuscitation of an infant with a Norwood circulation who developed deep central cyanosis in an out-of-hospital environment. The infant deteriorated because of stenoses in both the neoaortic arch and the aortopulmonary shunt. Emergency therapy, especially for out-of-hospital ...
However, patients with MBTS had fewer shunt interventions (RR, 0.55; 95% CI, 0.44 to 0.68; p<0.001; I2= 00%). Our pooled analysis demonstrated no survival benefit for the MBTS or RV-PAS in patients undergoing the Norwood procedure. There appears to be an advantage with the RV-PAS ...
Pasquali SK, Ohye RG, Lu M et al (2012) Variation in perioperative care across centers for infants undergoing the Norwood procedure. J Thorac Cardiovasc Surg 144:915–921 CentralPasquali SK, Ohye RG, Lu M, et al. Variation in perioperative care across centers for infants undergoing the ...
Invited commentary on: late left pulmonary artery sten- osis after the Norwood procedure is prevented by a modification in shunt construction. Ann Thorac Surg 2005;79:1660-1.Bichell DP, Lamberti JJ, Pelletier GJ, Hoecker C, Cocalis MW, Ing FF, Jensen RA. Late left pulmonary artery stenosis...
Differential branch pul- monary artery growth after the Norwood procedure with right ventricle- pulmonary artery conduit versus modified Blalock-Taussig shunt in hypo- plastic left heart syndrome. J Thorac Cardiovasc Surg 2009;137:1342-8.Pruetz JD,Badran S,Dorey F,et al. Differential branch ...
The goal of this study is to compare outcomes of 2 shunt sizes in this population. Between 2002 and 2010, 75 consecutive patients diagnosed with hypoplastic left heart syndrome and its variants underwent the Norwood procedure with a right ventricle-to-pulmonary artery conduit. The outcomes of 20...